Transcript Economic & Social Determinants Philippa Howden

Economic & Social Determinants
Philippa Howden-Chapman
He Kainga Oranga/Housing and Health
Research Programme
www.healthyhousing.org.nz
New Zealand Centre for Sustainable Cities
www.sustainablecities.org.nz
University of Otago, Wellington
The importance of empathy
Most respondents in the NZ Values Survey were prepared to pay increased
taxes to provide better health services and a better standard of living for the
elderly and the disabled.
Carroll et al, THE WIDENING GAP, Social Policy Journal, 2011
Waitangi Tribunal:
truth, reconciliation, and compensation
Newspeak?•Current HNZ tenants most
deprived 5% of households
?
?
?
•Healthy Housing Programme
27% fall in the total
number of acute and
arranged hospitalisations of
year
 61% fall in
hospitalisations after
crowding reduction
•Excluding 55 % of applicants is a
faster path to overcrowding,
infectious disease (25% of acute
hospitalisations) + homelessness
•Unfair to reduce small stock of
social housing when private
rental properties unregulated +
some landlord’s discriminatory
Energy poverty
“Any one who has ever struggled with poverty
knows how extremely expensive it is to be poor”
James Baldwin, Nobody Knows My Name, 1961.
Built Environment
-- Private rental housing stock requirements
extremely limited
+
+
Boarding houses and camping grounds increasingly
housing of last resort
Insecurity of tenure -> residential mobility -> irregular
primary care -> school attendance
Evidence-based policies
+ Government funding – underpinned by
research – has led to step change in retrofitting
insulation and heaters for home-owners
co-benefits: health, education, energy + climate change
+ Experiment with mixed-tenure, low carbon
urban houses with low operating costs
Develop economies of scale
+ Social Inclusion